enda manley application_form

7/30/2019 Enda Manley Application_Form

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EDNA MANLEY COLLEGE OF THE VISUAL AND PERFORMING ARTS1 Arthur Wint Drive

Kingston 5

Tel.: (876) 929-2350-2 / (876) 906-3355 / 936-9593

APPLICATION FOR ASSOCIATE, BACHELOR DEGREE

AND CERTIFICATE PROGRAMMES

All questions applicable are to be appropriately answered. Please complete Application Form in Duplicate. Completed Application Forms must be accompaniedby two recent recommendations; receipt of payment of application fee; two passport sized photographs; original(s) and two copies of examination

certificate(s) , High School Transcripts for recent High School Graduates and the original and two copies of yourBirth Certificate.SECTION A

PERSONAL DATA

1. Name

Title Last Name/Surname First Name Middle Name(s)

2. a) Former Name (if applicable)

Title Last Name/Surname First Name Middle Name(s) b) Type of Former Name:Maiden (Prior to) Deed Poll

3. a) Permanent Address: Apt/Street/PO Box b) Mailing Address (if different from 3): Apt/Street/PO Box

City/Town/Post Office Parish/County City/Post Office Parish/ County

State Zip/Postal Code Country State Zip/Postal Code Country

4. Home Permanent Phone

( )

5. Mailing Address Phone

( )

6. Cell Phone

( )

7. Work Phone

( ) Ext:

8. Fax Number

( )

9. Email Address

10. Gender

Female Male

11. Date of Birth

_________/___________________/____________

12. T.R.N.

13. Country of Birth/National of 14. Country of Citizenship 15. a) Country of Residence b) Duration

16. Marital Status

Single Married Common Law

Legally Separated Divorced Widowed

17. Religion/Denomination

18. Have you previously been a student at the E.M.C?

Yes No

19. If yes to question 18, please state

a) Programme b) School c) Year

EMERGENCY CONTACT INFORMATION

20. Name of Emergency Contact Person or Next of Kin

Title Last Name/Surname First Name Middle Initial b) Relationship to Applicant

a) Permanent Address Apt/Street/P.O. Box b) Emergency Contact Home/Permanent Phone

( )

c) Emergency Contact Cell Phone

( )

City/Town/Post Office Parish/County d) Emergency Contact Work Phone( ) Ext:

State Zip/Postal Code Country

SECTION B

COLLEGE PROGRAMMES21. SCHOOL OF VISUAL ARTS - Please place a tick(

) in the box beside the programme of your choice.Please note duration of courses: BachelorDegrees 4 years; Associate Degrees2 years; Certificates 1-2 years; Preliminary Qualifyingprogrammes

1 year.

A. SCHOOL OF VISUAL ARTS

Bachelor of Fine Arts (B.F.A.)

Bachelor of Art Education (upgrade)

Bachelor in Fine Arts (upgrade) Bachelor of Art Education

Associate of Arts in Visual Arts MAJOR (Specialization): if you have selected either the Bachelor in Fine Arts (B.F.A.), or Associate in Visual Arts programme, kindly indicate by ticking the appropriatebox, the specialization of your choice:

FINE ARTS APPLIED ARTS VISUAL COMMUNICATION

Painting Ceramics Graphic Design Sculpture

Printmaking Jewellery Textiles & Fibre Arts

Fashion Design


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22. SCHOOL OF ARTS MANAGEMENT & HUMANITIES

B.Bachelor of Arts inArts Management

23. SCHOOLS OF THE PERFORMING ARTS - Please place a tick( ) in the box beside the programme of your choice.

A. SCHOOL OF DANCEPROGRAMME

EXIT AWARD Bachelor of Fine Arts (Performance & Choreography) Degree Bachelor of Fine Arts (Performance & Choreography Upgrade) Degree Bachelor of Arts in Dance Education Degree Bachelor of Arts in Dance Education (Upgrade) Degree Associate of Arts in Performance Degree Studio Certificate-Dance Technique Certificate

B. SCHOOL OF DRAMAPROGRAMME

EXIT AWARD

State Concentration for BFA Bachelor of Fine Arts (Theatre Arts) Degree Bachelor of Fine Arts (Theatre Arts Upgrade) Degree Bachelor of Arts Drama in Education Degree Bachelor of Arts Drama in Education (Upgrade) Degree

__________________________________

Acting or Directing Associate of Arts in Theatre Arts (Acting Track) Degree

C. SCHOOL OF MUSICPROGRAMME

EXIT AWARD Bachelor of Music in Performance:Piano or Voice only DegreeState Principal Instrument: Bachelor of Music in Jazz & Popular Music Studies Degree

Bachelor of Music Education Degree Bachelor of Music in Performance (Upgrade) Degree Bachelor of Music in Jazz & Popular Music Studies (Upgrade) Degree

_____________________________________

Piano, Voice, Guitar, Violin etc. Associate of Arts in Music Certificate in Music DegreeCertificate

SECTION C - ACADEMIC ACHIEVEMENTS24. List academic programmes or examinations for which you are currently preparing or awaiting examination results.

Examination Body(e.g. C.X.C./G.C.E.)

Level(Basic/General)

Subject/Programme Date of Exam

(dd/mm/yyyy)

Grade

25. List educational institutions attended and any other programmes or courses you have completed.Institution Name & Address From

(mm/yyyy)

To(mm/yyyy)

Type of Programme

(eg. Cert/Dip)

Class of

Award

_____/________ _____/________

_____/________ _____/________

_____/________ _____/________

_____/________ _____/________


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26. Please list community/cultural or social activities in which you have been involved.

SECTION D SOURCE OF FUNDING

27. Will you be able to meet your financial obligation by August of year of acceptance

Yes No

28. Expected source of FundingGovernment (specify): ___________________ Loan Self Institution of Origin

Donor (specify): ________________________ Parents Award (Specify): ____________________

SECTION E EMPLOYMENT RECORD (if applicable)29. a) Name of Employer b) Name of Employer

Position Position

Address: Apt/Street/PO Box Address: Apt/Street/PO Box



From

_____/_______/__________

To

_____/_______/__________

From

_____/_______/__________

To

_____/_______/__________

SECTION F

30. Write a short paragraph to explain why you wish to take this programme of study and what you hope to do on

completion of training. For applicants of the Education Degrees write a short paragraph explaining why you wish toteach. (do not useadditional paper)

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

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31. How did you hear about the Edna Manley College? Newspaper Advertisements College Website Referral

Other; Please specify________________________________________

SECTION G REFEREE INFORMATION

32. Name two Refereesa) Name of Referee b) Name of Referee

Name of Organization Name of Organization

Position Position

Address: Apt/Street/PO Box Address: Apt/Street/PO Box




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SECTION H DECLARATION

33. a) I hereby certify that I have read and understood the instructionsand the information necessary for completing this application and

that all statements made are true and complete. I understand thatotherwise my admission to or registration in the College may berevoked.

__________________________ ______/______/_________Signature of Applicant Date (dd/mm/yyyy)

b) This application is made with my consent and I intend to provide suchfees as may be payable to the College.

__________________________ ______/______/_________Signature of Parent/Guardian Date (dd/mm/yyyy)

FOR OFFICIAL USE ONLY(This Section - to be completed by Edna Manley College Personnel)

Documents Received:

Application Fee Receipt no.: ________________________

Birth Certificate

Marriage Certificate

Deed Poll

Transcripts (recent High School Graduates & persons who attended

other Tertiary Institutions)

CXC/GCE Certificates

Recommendations

Photographs

Other (specify): ___________________________________________________

Original Documents Returned:

__________________________ ______/______/_________

Signature of Applicant Date (dd/mm/yyyy)

__________________________ ______/______/_________

Signature of Students Affairs Officer Date (dd/mm/yyyy)

OFFICIAL ASSESSMENT:

Qualified Not Qualified

Other Qualifications Require additional Subject to Matriculate

Refer for decision re. Matriculation Qualified for Re-entry

COMMENTS:

AUDITION/ASSESSMENT RESULTS

Audition Pass Fail Grade given _________________(Dance, Music, Drama)

Portfolio Assessment Pass Fail Grade given _________________(Visual Arts Interview)

English Proficiency Pass Fail Grade given _________________

Matriculated to:

Preliminary Qualifying year - School ______________

Bachelor Degree _______________________________________

Associate Degree ______________________________________

Certificate _____________________________________

Mature Entry/Advanced Placement - year ___________

College E-mail: __________________________ Student ID# __________________